{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T06:48:21Z","timestamp":1791528501112,"version":"4.3.4"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2023,11]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Traditional sub\u2010fascial anterolateral thigh (ALT) flaps are bulky and often give unsatisfactory outcomes in several head and neck reconstructions where thin pliable flaps are required. As a result, despite high incidence of donor site complications, radial forearm flap is still commonly used for tongue, buccal mucosa and lip defects where a traditional ALT flap would be too bulky. The objective of this report was to evaluate the usefulness of super\u2010thin ALT flap as an alternative to radial forearm flap for intra\u2010oral reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Patients and methods<\/jats:title>\n \n Retrospective evaluation was done of all head and neck reconstructions performed by a single surgeon between December 2021 and May 2022. Twenty\u2010two patients who had undergone super\u2010thin ALT flaps for intra\u2010oral reconstruction of soft tissue defects were included in the report. These included buccal mucosa (\n n<\/jats:italic>\n \u2009=\u200911), tongue (\n n<\/jats:italic>\n \u2009=\u20098), and buccal mucosa with neck skin defects (\n n<\/jats:italic>\n \u2009=\u20093). All patients had undergone wide excision of oral squamous cell carcinoma, and had history of chewing tobacco. Average age of patients was 54\u2009years, 16 were males and 6 were females. Mean BMI of the patients was 25.2\u2009kg\/m\n 2<\/jats:sup>\n (Range: 20.5\u201331.0\u2009kg\/m\n 2<\/jats:sup>\n ). Super\u2010thin ALT flap was elevated in the plane of superficial fascia of the thigh, thus leaving behind the deeper fat. The flaps were shaped as per the measurements obtained from the specimen as well as the defect and intra\u2010oral inset was done prior to vascular anastomosis.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Mean flap dimension was 8.3\u2009\u00d7\u20096.7\u2009cm (range: 6\u2009\u00d7\u20095 to 20\u2009\u00d7\u20097\u2009cm). Mean flap thickness was 9\u2009mm (range: 4\u201320\u2009mm). Mean flap elevation time was 70.9\u2009min (Range: 48\u2013105\u2009min). None of the flaps needed a re\u2010exploration. All flaps survived completely. One patient had surgical site infection at the flap donor site which was managed conservatively. Mean follow up was 5\u2009months (range: 3\u201310\u2009months). All patients were able to take soft oral diet at the last follow up.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Super\u2010thin ALT flaps raised in superficial fascia plane are reliable and provide thin, pliable tissue for head and neck reconstruction. Unlike other thin flaps, these are not limited by donor site morbidity and flap dimension.<\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/micr.31115","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T05:15:31Z","timestamp":1695100531000},"page":"782-789","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Use of super\u2010thin anterolateral thigh flap in intra\u2010oral reconstruction of soft tissue defects"],"prefix":"10.1002","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1059-6333","authenticated-orcid":false,"given":"Aniket","family":"Dave","sequence":"first","affiliation":[{"name":"Plastic and Reconstructive Surgery Apollo CBCC Cancer care Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pratyusha","family":"Priyadarshini","sequence":"additional","affiliation":[{"name":"Plastic and Reconstructive Surgery Apollo CBCC Cancer care Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamlesh","family":"Wadhwani","sequence":"additional","affiliation":[{"name":"Plastic Surgery Apollo Hospitals International Limited Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murtuza","family":"Laxmidhar","sequence":"additional","affiliation":[{"name":"Surgical Oncology Apollo CBCC Cancer Care Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravi Naga Vijay Kumar","family":"Vanjarapu","sequence":"additional","affiliation":[{"name":"Surgical Oncology Apollo CBCC Cancer Care Ahmedabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,19]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30748"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30681"},{"issue":"8","key":"e_1_2_10_4_1","first-page":"1095","article-title":"An experience on primary thinning and secondary debulking of anterolateral thigh flap in head and neck reconstruction","volume":"16","author":"Cigna E.","year":"2012","journal-title":"European Review for Medical and Pharmacological Sciences"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1607426"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1369807"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/micr.30164"},{"issue":"6","key":"e_1_2_10_8_1","first-page":"e757","article-title":"Functional assessment: Free thin anterolateral thigh flap versus free radial forearm reconstruction for hemiglossectomy defects. Med Oral Patol Oral","volume":"20","author":"Lu M.","year":"2015","journal-title":"Cirugia Bucal"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0194-59980301393-7"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000004126"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0037-1601422"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/SAP.0b013e3181cbfebc"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/SCS.0b013e3181764ad6"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1080\/2000656X.2016.1184158"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.31115","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,15]],"date-time":"2023-11-15T16:05:15Z","timestamp":1700064315000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.31115"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,19]]},"references-count":13,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["10.1002\/micr.31115"],"URL":"https:\/\/doi.org\/10.1002\/micr.31115","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,19]]},"assertion":[{"value":"2022-11-22","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-08","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-19","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}